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incidence in low risk ambulatory cases
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3/22/2015 www.medscape.com/viewarticle/824547_print
http://www.medscape.com/viewarticle/824547_print 1/1
www.medscape.com
May13,2014
SurgicalSiteInfectionsFollowingAmbulatorySurgeryProcedures
OwensPL,BarrettML,RaetzmanS,MaggardGibbonsM,SteinerCA
JAMA.2014311:709716
Summary
Theaimofthisreportwastoanalyzesurgicalsiteinfectionsafterambulatorysurgery,basedonmorethan284,000
patientstreatedin8states.Surgicalinfectionratesweremeasuredat2weeksandat1month.Forallsurgicalsite
infections,the2weekratewas3.1per1000operations,andthe1monthratewas4.8per1000procedures.Only
laparoscopicherniarepairshadlowerinfectionratesthanopensurgicalprocedures.
Viewpoint
Theobservedratesofinfectionarelowonlyabout0.3%after2weeksand0.5%afteramonth,butbecause
ambulatorysurgeryisperformedsofrequently,increasingoureffortstoavoidtheseinfectionswillbeimportant.Manyof
theseinfectionsoccurbeforethefirstscheduledpostoperativevisit,andwhenaninfectiondoesoccur,mostofthose
patientsrequirehospitalization.Itseemslogicalthatschedulingthefirstpostoperativevisitsoonerwouldallowforearlier
diagnosisandtreatment,thusavoidingtheneedforhospitalization.
Abstract
MedscapeGeneralSurgery2014WebMD,LLC
Citethisarticle:AlbertB.Lowenfels.IncidenceofSurgicalSiteInfectionsAfterLowRiskAmbulatory
Surgery.Medscape.May13,2014.
IncidenceofSurgicalSiteInfectionsAfterLowRiskAmbulatorySurgeryAlbertB.Lowenfels,MD
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